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MANDRED W. COMFORT, M.D.; HOWARD K. GRAY, M.D.; MALCOLM B. DOCKERTY, M.D.; ROBERT P. GAGE, M.S.; GEORGE R. DORNBERGER, M.D.; JORGE SOLIS, M.D.; DEAN P. EPPERSON, M.D.; ROBERT A. McNAUGHTON, M.D.

AMA Arch Intern Med. 1954;94(4):513-524.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A GASTRIC cancer of small size always arouses the hope that it is more amenable to therapy and possesses a better prognosis than gastric cancer in general. Do the facts justify this hope? Does the small gastric cancer differ in any way from gastric cancers of all sizes? Can it be removed more safely? Are survival rates better for small cancers? Analysis of records of a group of small gastric cancers has in general provided affirmative answers to these questions.

MATERIAL

During the years 1940 to 1945, inclusive, 924 adenocarcinomas of the stomach were treated by gastric resection at the Mayo Clinic. In 226 of these, the greatest diameter measured 4 cm. or less. Thus, gastric cancer of this size accounts for about one quarter of all gastric cancer treated by resection. The importance of this group in the over-all survival rate of patients with gastric cancer is obvious.

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Author Affiliations
ROCHESTER, MINN.

From The Mayo Clinic and The Mayo Foundation; Section of Medicine (Drs. Comfort and Dornberger), Section of Surgery (Dr. Gray), Section of Surgical Pathology (Dr. Dockerty), Section of Biometry and Medical Statistics (Mr. Gage). From Mayo Foundation; Fellows in Surgery (Drs. Solis and Epperson) and Fellow in Medicine (Dr. McNaughton). The Mayo Foundation is part of the Graduate School of the University of Minnesota.

Footnotes
Read before the Joint Meeting of the Section on Gastroenterology and Proctology and the Section on Pathology and Physiology at the 103rd Annual Meeting of the American Medical Association, San Francisco, June 24, 1954.

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